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General NPI Number Information
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NPI Number | 1447566609
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Entity Type | Organization
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Legal Business Name | DIGITAL MOBILE IMAGING, LLC.
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | 718 LOGAN BLVD
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-3015
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Country | US
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Telephone | 814-944-6790
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Fax |
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Provider Business Mailing Address
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Address Line | 718 LOGAN BLVD
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-3015
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | AMY MILLER
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Credential | MBA
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Telephone | 814-944-6790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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